Bright Beginnings Of South Park

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A step on the climbing structure in the outdoor preschool play space was observed to have damage to the plastic covering on the step. This damage created a sharp edge and a potential pinch point.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for Child #1, an infant, lacked verification that the child had received the ACIP recommended 6-month DTAP, HIB and Pneumococcal vaccinations. A written exemption was not on file at the time of the inspection.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The current health report on file for Staff Person #1 lacked information related to an examination for communicable diseases.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Broken magnatiles and foam letter blocks with teeth marks were observed in the Preschool Room, which could be hazardous to children.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: Peeling plastic less than 1 inch in diameter was observed on a highchair cover in the Infant Room. Foam cubes with peeling plastic and paper books with ripped torn edges were less than 1 inch in diameter were observed accessible to children who are still placing objects in their mouths in the Toddler Room. Cracked plastic balls with sharp edges and a cracked plastic basketball hoop with pinch points were observed in the Front Toddler play space, which could be harmful to children.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The two most recent Emergency Contact updates on file for Child #1 were dated 8/28/23 and 3/6/24, more than 6 months apart.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file for Staff #2 includes a health assessment and tuberculosis screening which are dated more than 12 months prior to hire. The file for Staff #6 contained a health assessment which is dated after hire and a tuberculosis screening which is dated more than 12 months prior to date of hire. (See LIS CODE SHEET)

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #7 includes only 1 written nonfamily reference.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The Emergency Plan lacked plans for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The parent letter in the Emergency Plan lacked plans for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #4 and Staff #8 have acceptable Pediatric First Aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic. Staff #3 did not complete the following required pre-service training within 90 days of their date of hire: Pediatric First Aid/CPR: Completed 10/9/23 (SEE IS CODE SHEET).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #2 lacked a criminal history record with the State Police clearance, which indicated the person has a record, required for CPSL compliance. The file for Staff #2 contained an FBI rap sheet that did not include a disposition for all listed charges, making it invalid. The two most recent State Police and FBI clearances for Staff #5 were dated more than 60 months apart. The file for Staff #8 includes an incomplete criminal history clearance that did not include a dissemination date, making it invalid. The file for Staff #8 observed not to include a rap sheet with the FBI clearance, which indicated the person has a record required for CPSL compliance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).Facility Person #2 and #8 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 & #8 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations on file for Staff #1 were dated 6/14/21 and 5/11/23, more than one year apart.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The fire alarm 30-day test log includes test dates 10/13/23-11/19/2023, more than 30 days apart.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility person #1 was observed to be caring for children unsupervised. Facility Person #1 has not completed the following pre-service training required prior to caring for children unsupervised: approved pediatric first aid and CPR.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, Facility Person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise Facility Person #1 Facility Person #-1 may not work in a child-care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: Documentation of smoke detector testing indicates that tests occurred on 3/27/23 and next again on 4/27/23 - more than 30 days apart.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The agreements on file for children #1, #2, #3, #4, #6, and #7 were the originals.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The medical emergency transportation plan was not posted in the Sunny Days and Rainbow rooms. The medical emergency transportation plan posted in the other spaces did not include the plan for staffing provisions in the event of an emergency.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not include a plan for continuity of operations in the event of an emergency, as required by federal regulation.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)/3270.151(b)

Description: 12 months prior to service and every 24 months thereafter/Conducted by physician, PA or CRNP

Noncompliance Area: The initial health assessment on file for Facility Person #3 was not signed or dated by the physician, physician's assistant or CRNP who conducted the exam.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The agreement on file for child #5 was not reviewed and updated by a parent in writing in the previous 6 months.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to be given to parents explaining the emergency plan did not include information regarding the facility's plan for a lockdown.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent evaluation completed and on file for Facility Person #4 was completed on 1/31/22 by an assistant group supervisor.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.36(b)(5)/3270.192(2)(iv)

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: Facility Persons #1-#6 are classified as assistant group supervisors based on completion of high school and at least two years (2500 hours) of child care experience. The required documentation of child care experience on file for each of these staff includes written statements from the staff persons themselves initialed by a representative of the operator, who states this was to document a phone conversation with a representative of the experiential entity to verify the hours of child care experience written by the employee. The written statements do not include the name of the representative of the experiential entity whom the operator's representative spoke with. There was less than two years of child care experience documented and on file for Facility Person #6 as a portion of the hours documented were of care to related child living in the same household as Facility Person #6 when the care was provided.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 3270.4 indicates that the term "child care experience" does not does not include care of related children who reside with an individual. A facility person's record shall include acceptable verification of experience, education or training which is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There were two suncreens labeled "keep out of reach of children" in an unlocked drawer near the diapering area, in reach of children, in the Sunny Days room.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peeling paint on the wall in a toy storage closet in the Sunny Days room.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: There was no lidded trash can in the girls restroom.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The fire drill log did not list the names of the facility persons who participated in each fire drill.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: There was no documentation on file at the facility indicating that facility's smoke detectors were tested between July 2022 and 1/26/23. The most recent test documented was notated as occurring on 2/23/23. The smoke detectors were tested on the day of the inspection, more than 30 days later. Smoke detectors are required to be tested at least every 30 days and the testing documented under Act 62.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: A crib containing a sleeping infant was observed to lack 2 feet of space on 3 sides in the Little Lambs Room.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During an observed bathroom break on 9/15/22 at approximately 10:50 AM, 1 staff was observed with 3 PS girls and 3 PS boys. The children entered their respective bathrooms, which were 12 feet apart, while the staff member waited in the hall. The staff then entered the girls' bathroom to assist one of the children, leaving the 3 PS boys unsupervised in the boys' bathroom.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Upon assessment of supervision and ratio in the Shining Stars Room 9/15/22 at 10:40 AM, Staff #1 named 5 PS and Staff #2 named 5 PS. There were 11 children in the room at that time. Staff were asked to name their groups three different times with the same result.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Staff #1 in the Infant Room was heard outside the room, with the door closed, screaming about her work assignment. When observed, Staff #1 had been holding a YT while screaming.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: According to a reported incident from the facility, Child #1 was injured and fractured his femur after falling from the window ledge in the Shining Stars Room. During interviews conducted as part of the investigation, it was reported staff permitted the children to climb on the window ledge

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: A child was injured while placing his finger between the sections of a folding cabinet door in the Sunny Days Room, which was off the upper track and unable to open and close properly due to its disrepair.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A folding cabinet door was reported to have been off the upper track in the Sunny Days Room, making it unable to open and close properly.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a pink and yellow climbing matt ripped on the left top corner, a blue toy sofa ripped on the back and on the left leg exposing the wood in the Sunny Day room . There was a cracked bin in the Rainbow room and in the Smiley room.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file for child # 1 lacked the admission date on the agreement form.

Correction Required: An agreement shall specify the date of the child's admission.A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #1and 3 lacked the work address of the enrolling parent on the emergency contact form.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for child # 2 lacked the information on disabilities on the emergency contact form.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files for child #1 and 2 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for child #1 lacked an updated health report. The last health report in file was dated 1/5/21.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Regulation: 3270.131(e)/3270.131(e)(1)

Description: ACIP recommended immunization record /Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #2,3, and 4 lacks documentation of a current influenza immunization as recommended by the ACIP.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: In the Rainbow room was a mupirocin medication with out the label of the medication and the name of the child for whom the medication is intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: There was a white, liquid in a plastic bottle in a lunch bag in the pre-k room. Per staff the liquid was a plant based milk. There was cheese, yogurt and lunch meat in two lunch boxes in the Smiley room.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan lacked accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for staff #1lacked pediatric Firs-Aid and pediatric CPR certificate. The staff start date was 11/22/21.The training certificate was due on 2/22/22.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the Preschool/ Pre-k room the following toxics items labeled, Keep out of reach of children, and adult supervision recommended "were accessible to children in care: Germ X sanitizer, carpet square acrylic paint, champagne body cream on the counters top and chap stick. In the rainbow room the following toxic items labeled "not for children under 3 years" were used with 1 and 2 years old children. In the laundry area on the hallway the following cleaning items labeled "keep out of reach of children"were accessible to children in care: Gain dish soap, antibacterial source soap and wind fresh laundry detergent.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the preschool/pre-k room lacked tape.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The provider lacked proof of purchase of the interconnected alarm system.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Noncompliance Area: At 10:00am in Room 118, when asked to identify the names and whereabouts of the children in their group, staff person #1 and staff person #2 named the same child and one child was not named. In Room 130, when asked to identify the names and whereabouts of the children in their group, staff person #3 and staff person #4 did not name one child. All children were present in both spaces.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: The file for staff person #5 contained PA State Police clearances dated 01/08/2015 and 01/16/2020 and PA Child Abuse clearances dated 01/21/2015 an 01/23/2020; more than 60 months passed between clearances. The file for facility person #6, start date 04/10/2019, contained a PA Child Abuse clearance dated 09/17/2019.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: On 3/11/2019, the health report on file for children #1 and #2 were observed not to contain a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: On 3/11/2019, the immunization record on file for child #3 was observed not to contain documentation that the child had received an influenza vaccination within the last 12 months as recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: On 4/10/2019, the file for staff person #2 whose date of hire was 3/11/2019 was observed not to contain documentation of a health report being completed within 12 months prior to the start of employment at the child care facility.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: On 4/10/2019, the file for staff person #1 was observed not to contain documentation of a complete Pennsylvania State Police Criminal History clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: On 3/11/2019, damaged plaster was observed in the younger toddler classroom (114) to the right of the climber and peeling paint was observed in the older toddler classroom (115) to the left of the outlet that is to the right of the window.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: In the preschool/school aged room one toy bin containing legos was observed to be cracked along the edges and multiple magnetic tiles were observed to be broken along the edges. This exposes the children in care to rough edges and sharp corners.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: The file for staff person #1 whose date of hire was 12/2/2018 was observed not to have on file documentation of being trained in the facility's emergency plan at the time of hire.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: Peeling paint and damaged plaster was observed in the following locations; in the older infant room underneath of the window, in the younger toddler room on the pillars separating the closets and in the older toddler room around the windows.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: The back corner of the shed accessible to the children in the right rear play space was observed to be cracked from bottom to top exposing the children in care to rough edges, sharp corners, pinch and crush points.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: In the meadows (infant) room a bumbo seat without the safety straps was observed in the child care space with the children in care.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Noncompliance Area: The diaper changing table located in the meadows (infant) room was observed to not be sturdy as evidenced by the table swaying from side to side when pushed from the sides.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: The emergency contact forms on file for children #1 - #3 were observed not to contain complete documentation for the person's whom the children are authorized to be released to.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: The emergency contact form on file for child #4 was observed not to contain signed parental consent for emergency medical care or administration for minor first aid.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The file for staff person #2 was observed not to contain documentation of 2 written non family references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: Multiple cribs used by infant aged children in care were observed to have loose fitting full sized crib sheets on a compact sized crib mattress. This leaves an excessive amount of fabric on the surface of the mattress while a child is napping creating a suffocation hazard.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: The child abuse clearance on file for staff person #1 was observed to be for volunteer purposes.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person #1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #1 may not work in a child care position at the facility.

Noncompliance Area: A hand washing sign was observed not to be posted at each toilet, diapering area and sink in the facility.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: In the meadows (infant) classroom the diaper changing table was observed to be on the opposite side of the room from the running water.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Noncompliance Area: Observed one yellow couch in room 118 and one red chair in room 114 that had small tears in them.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: Observed two medications that were intended for children without the names of the children on them for whom they were intended in room 114.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: The file for staff #1 contains a TB test that was conducted after initial service in the child care setting.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person`s record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.